# CPT 74246: Radiologic examination, upper GI series, with air contrast

Medicare CPT 74246 pays $134.61 in a non-facility setting and $134.61 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $119.08 in Arkansas to $155.11 in Alaska, a 30% spread.

Web page: https://www.med-reveal.com/rates/74246-cpt-fee-schedule
Section: Diagnostic Imaging and Radiology

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $134.61 |
| National facility | $134.61 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $155.11 | $155.11 |
| District of Columbia | $154.79 | $154.79 |
| California | $153.66 | $153.66 |
| Washington | $149.56 | $149.56 |
| New Jersey | $149.29 | $149.29 |
| New York | $148.65 | $148.65 |
| Hawaii | $147.90 | $147.90 |
| Massachusetts | $147.88 | $147.88 |
| Connecticut | $143.56 | $143.56 |
| Colorado | $141.12 | $141.12 |
| Oregon | $139.81 | $139.81 |
| Maryland | $139.53 | $139.53 |
| New Hampshire | $138.59 | $138.59 |
| Rhode Island | $138.35 | $138.35 |
| Florida | $136.85 | $136.85 |
| Minnesota | $136.19 | $136.19 |
| Puerto Rico | $135.71 | $135.71 |
| Virgin Islands | $135.71 | $135.71 |
| Montana | $134.60 | $134.60 |
| Nevada | $134.37 | $134.37 |
| Wyoming | $134.08 | $134.08 |
| North Dakota | $133.42 | $133.42 |
| Delaware | $133.31 | $133.31 |
| South Dakota | $133.27 | $133.27 |
| Illinois | $133.05 | $133.05 |
| Texas | $133.02 | $133.02 |
| Pennsylvania | $132.89 | $132.89 |
| Vermont | $132.58 | $132.58 |
| Virginia | $132.26 | $132.26 |
| Arizona | $131.12 | $131.12 |
| Georgia | $130.30 | $130.30 |
| Maine | $129.26 | $129.26 |
| Michigan | $129.13 | $129.13 |
| Wisconsin | $128.88 | $128.88 |
| Utah | $128.21 | $128.21 |
| North Carolina | $126.97 | $126.97 |
| South Carolina | $126.46 | $126.46 |
| New Mexico | $126.44 | $126.44 |
| Missouri | $126.08 | $126.08 |
| Indiana | $126.04 | $126.04 |
| Louisiana | $125.72 | $125.72 |
| Ohio | $125.64 | $125.64 |
| Nebraska | $125.41 | $125.41 |
| Idaho | $125.29 | $125.29 |
| Iowa | $124.62 | $124.62 |
| Tennessee | $124.29 | $124.29 |
| Kansas | $123.70 | $123.70 |
| Oklahoma | $123.12 | $123.12 |
| Kentucky | $122.98 | $122.98 |
| West Virginia | $121.95 | $121.95 |
| Alabama | $120.83 | $120.83 |
| Mississippi | $119.74 | $119.74 |
| Arkansas | $119.08 | $119.08 |

## Related codes

- 74190: Radiologic examination, peritoneogram — https://www.med-reveal.com/rates/74190-cpt-fee-schedule
- 74210: Radiologic examination, pharynx and/or cervical esophagus — https://www.med-reveal.com/rates/74210-cpt-fee-schedule
- 74220: Radiologic examination, esophagus, with contrast — https://www.med-reveal.com/rates/74220-cpt-fee-schedule
- 74230: Swallowing function evaluation with cineradiography/videoradiography — https://www.med-reveal.com/rates/74230-cpt-fee-schedule
- 74240: Radiologic examination, upper GI series, without small bowel — https://www.med-reveal.com/rates/74240-cpt-fee-schedule
- 74247: Radiologic examination, upper GI series with small bowel, single contrast — https://www.med-reveal.com/rates/74247-cpt-fee-schedule
- 74250: Radiologic examination, small bowel, single contrast — https://www.med-reveal.com/rates/74250-cpt-fee-schedule
- 74270: Radiologic examination, barium enema, single contrast — https://www.med-reveal.com/rates/74270-cpt-fee-schedule

Commercial negotiated rates for 74246 by payer and state: https://www.med-reveal.com/solutions/rate-benchmarking

## Sources

- CMS Medicare fee schedules (2026 Q4): https://www.cms.gov/medicare/payment/fee-schedules